Individual
ASHLEY WHITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
63 BOLTON ST, PORTLAND, ME 04102-2501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
290114
OR
225X00000X
Occupational Therapist
OT2596
ME
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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